FAWAZ MEDICAL AND SURGICAL CLINIC, LLC (NPI# 1801207626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801207626 |
| Entity Type | Organization |
| Organization Name | FAWAZ MEDICAL AND SURGICAL CLINIC, LLC |
| Practice Address |
962 Us Highway 331 S Defuniak Springs FL 32435-3372 |
| Practice Telephone | 8509518800 |
| Mailing Telephone | 8509518800 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | JANNA MAULDIN (OFFICE MANAGER) |
| Authorized Official Telephone | 8509518800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
ME82523 | ZZ | Ambulatory Health Care Facilities |
| Street Address |
962 US HIGHWAY 331 S |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32435-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932283389 | Fawzi Fawaz | Family Medicine | 962 Us Highway 331 S, Defuniak Springs, FL 32435-3372 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477098267 | Luz Zondlo | Counselor | 3686 Us Highway 331s, Chautauqua Offices of Psychotherapy & Evaluation, Defuniak Springs, FL 32435 | 2017-01-03 |
| 1427445477 | Jacob Urda | Family Medicine | 1045 Hwy 331 South Suite D & E, Defuniak Springs, FL 32435 | 2015-04-16 |
| 1982728929 | Stone Surgery Clinic | Surgery | 962 Us 331 South, Defuniak Springs, FL 32435 | 2007-03-16 |
| 1003999756 | Charles Gordon Stevenson IIi | Optometrist | 770 Hwy 331 South, Suite 1, Defuniak Springs, FL 32435 | 2006-10-23 |
| 1609971910 | Solomon Reodica | Surgery | 4415 Highway 331 Soutn, Defuniak Springs, FL 32435 | 2006-09-13 |
| 1396857223 | Pamela Kay Stuckey | Social Worker | 3686 Us Hwy 331 S, Cope Center Inc, Defuniak Springs, FL 32435 | 2006-08-31 |
| 1144332065 | Michele Anne Gilmore-rule | Social Worker | 3686 Us Hwy 331 South, Cope Center Inc, De Funiak Springs, FL 32435 | 2006-08-31 |
| 1205857513 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1030 Us Highway 331 South, Suite G, Defuniak Springs, FL 32435 | 2006-07-21 |
| 1912932153 | George Lester Mueller | Surgery | 2800 S Seacrest, Suite 200, Boynton Beach, FL 32435 | 2006-07-12 |
| 1679525463 | Timothy W Walker | Emergency Medicine | 4413 Us Hwy 331 South, Defuniak Springs, FL 32435 | 2006-05-17 |
| Find all providers in zip 32435 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32435 |
Please comment or provide details below to improve the information on FAWAZ MEDICAL AND SURGICAL CLINIC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.